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General NPI Number Information
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NPI Number | 1184244360
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Entity Type | Organization
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Legal Business Name | KIJIJI ADVOCACY ORGANIZATION
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 9 CAMBRIDGE CIR
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City | CONROE
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State | TX
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Zip | 77304-2702
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Country | US
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Telephone | 713-859-5872
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 KENT AVE APT M112
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City | METAIRIE
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State | LA
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Zip | 70006-3998
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Country | US
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Telephone | 985-960-2414
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Fax |
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Authorized Official
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Title or Position | PROMOTIONS/MARKETING
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Name | MS. TERRI ALLEN
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Credential | DO
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Telephone | 936-500-2463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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